LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...

 
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LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...
LGBTQ+ History Month
Cancer awareness – signs and symptoms of
cancer
Caroline Cook and Paul Thomas
9th February 2021
LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...
What we will cover today

• Why we are here
• Facts about cancer
• Myths and misinformation
• Cancer awareness
   • Cancer symptoms
   • Risks and how to reduce these
• When to get help and why we might not seek advice
LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...
Why are we talking about cancer?
Knowing what to be aware of means you can get treatment earlier and have
better outcomes.

  Awareness              Early diagnosis        Easier treatment       Better outcomes

     • Being aware           • Diagnosing           • Less likely to       • Finding
       of signs and            cancer earlier         need invasive          cancer at an
       symptoms of             makes                  treatments,            early stage
       cancer means            treatment              like surgery.          also means
       you can get             and                  • Treatments             better
       advice earlier.         outcomes               may be less            outcomes for
                               better.                toxic with             patients – can
                             • NHS Long               fewer side             live longer
                               Term Plan –            effects.               and feel
                               75% cancers                                   healthy.
                               to be
                               diagnosed at
                               stage 1 or 2.
LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...
Facts about cancer
• Cancer starts when genetic changes make cells grow and multiply too much
  in an uncontrolled way.
• These changes usually happen slowly over a persons lifetime, so the risk of
  cancer is greater in older people.
• Cancer is not one disease but a collection of diseases.
    • There are more than 200 different types of cancer.
• In the UK, around 360,000 people are diagnosed with cancer every year.
• Cancer is more common than you think - 1 in 2 people in the UK will get
  cancer in their lifetime.
• Cancer is a long-term condition – it is possible to live with cancer for a long
  time.
• About 40% of cancers are preventable.
LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...
Myths and misconceptions
• Social media can be a blessing and a curse – it’s a great way to share information.
• Misinformation spreads quickly and can be dangerous.

         Cancer is a                                                 Cancer treatments kill
            death                                                    more people than they
          sentence                  I have no family                          cure
                                    history of cancer
                                    so I won’t get it
                                                                        Eating sugar
    Having surgery                                                      makes cancer
    makes cancer                                                            grow
       spread                                   Superfoods
                                              prevent cancer
                        Eating dairy
                       foods causes                                 Stress causes
                          cancer                                       cancer
LGBTQ+ History Month Cancer awareness - signs and symptoms of cancer - Caroline Cook and Paul Thomas 9th February 2021 - NHS Barking and ...
Cancer symptoms

                         Know your body – what is
                         unusual for you?

                           All of these may be
                           symptoms of other
                           illnesses, but its
                           important to get
                           checked by your GP.

                  CRUK
Breast cancer
• Breast cancer is the most common cancer in the UK.
    • 15 out of 100 (15%) of all newly diagnosed cancers in the UK are breast
      cancer.
• According to Cancer Research UK (CRUK) about 54,700 women and 390 men
  were diagnosed with breast cancer in 2017.
• Survival in the UK has doubled over the last 40 years and continues to
  improve.
• Regular breast checks will help you to find symptoms early, such as:
    • a new lump or thickening in your breast or armpit
    • a change in size, shape or feel of your breast
    • skin changes in the breast such as puckering, dimpling, a rash or redness
      of the skin
    • fluid leaking from the nipple
    • changes in the position of the nipple
Cervical cancer
• Anyone who has a cervix can develop cervical cancer.
• In the UK, more than half of cervical cancers are detected in women aged
  under 45 and the highest incidence rates are in females aged 30 to 34.
• It accounts for 2% of all new cancer cases in females in the UK and less than
  1% of all new cancer cases in females and males combined in the UK.
• 99.8% of cervical cancer cases in the UK are caused by Human Papilloma
  Virus (HPV).
• HPV is transmitted by skin to skin contact and not just by penetrative sex.
• Common symptoms are:
    • unusual vaginal bleeding, e.g. between periods
    • pain or discomfort during sex
    • vaginal discharge
    • pain in the area between the hip bones (pelvis)
Bowel cancer
• Bowel cancer is the 4th most common cancer in the UK, accounting for 11%
  of all new cancer cases (2017).
• 44% of bowel cancer cases in the UK are in females, and 56% are in males.
• The most common symptoms are:
   • bleeding from the rectum or blood in your poo
   • a persistent change in your normal bowel habit
   • a feeling of needing to strain, even after opening your bowels
   • losing weight
   • pain in your abdomen or rectum
   • tiredness and breathlessness
   • a lump in your rectum or tummy (abdomen)
   • bloating
Lung cancer
• Lung cancer is the 3rd most common cancer in the UK, accounting for
  13% of all new cancer cases (2017)
• There is a strong relation between lung cancer incidence and age.
   • Higher incidence in older people - on average each year more
     than 4 in 10 new cases (44%) are in people aged 75 and over.
   • Incidence rates rise steeply from about the age of 45-49.
   • The highest rates are in in the 80 to 84 age group for females and
     the 85 to 89 age group for males
• Lung cancer is often diagnosed at a late stage
   • 72-76% are diagnosed at stage III or IV while 24-28% are
     diagnosed at stage I or II.
Lung cancer vs. Covid-19
Feature of lung cancer                          Symptom        Feature of Covid-19
An unexplained cough or a cough that              Cough        A cough that starts suddenly and quickly
lasts for more than 3 weeks.                                   gets worse
Getting out of breath doing the things        Breathlessness   Suddenly starting to feel out of breath
you used to do easily

Feeling tired for more than 4 weeks              Fatigue       Feeling tired unexpectedly and quickly

Other possible symptoms – ‘red flags’
Red flags for lung cancer                             Red flags for Covid-19
Coughing up blood or blood in your phlegm             Fever
Chest pain or shoulder pain                           Aching body/limbs

 Losing weight for unexplained reasons – no           Loss of taste
 change in diet or exercise
Loss of appetite                                      Loss of smell
Repeated chest infections                             General flu-like symptoms
Known risks of cancer
• Age
• Smoking
• Family history
• Being overweight
• Lack of physical exercise
• Unhealthy diet
• High alcohol consumption
• Environmental factors – exposure to asbestos, chemicals, radon
• Low immunity – due to immunosuppressant medication or medical conditions which
  lower the immune system.
• Viruses and bacteria linked to cancers – e.g. HPV and cervical cancer, Hep B/C and
  liver cancer, HIV and Kaposi’s sarcoma.
Some things we can’t change…
• Aging
• Genetics and family history
• Some environmental factors
    • Most cancer causing chemicals are banned, but exposure may have
      happened years ago.
    • Radon occurs naturally in rocks – some areas this is more concentrated
      than others.
…but some things we can
             Research shows that 4 in 10 cancers can be prevented

• Be aware of our bodies – know what doesn’t feel right.
• Checks at home – check breasts or testicles for lumps.
• Attend screening appointments when invited.
• Give up smoking – better still don’t start.
• Maintain a healthy weight.
• Make healthy lifestyle choices
    • Eat a healthy, balanced, high fibre diet.
    • Get some physical exercise.
    • Stick to government guidelines around alcohol intake.
• Protect your skin from the sun
When to get help
• The NHS is open for business and has measures in place to keep patients and staff
  safe from Covid-19 – don’t let this stop you from seeking medical advice.
• Your GP should be your first contact if you notice:
    • Any of the possible symptoms of cancer e.g. lumps, bumps, pain, unusual
      bleeding.
    • A change in your body which does not feel right for you.
• If your GP thinks your symptoms may be cancer, they can arrange for you to have
  tests and see a specialist quickly.
• Remember - it’s best to have any unusual symptoms checked early when cancer is
  easier to treat.
Barriers to seeking advice
• Fear of being diagnosed with cancer
• Denial – “I’ll be okay”, “Maybe, it’ll go away”
• Embarrassment – not wanting to undress in front of a medical professional, issues
  with body image, body dysmorphia
• Lack of understanding or sensitivity of medical staff
• Previous bad experience
• Cultural issues – fatalism, stigma
• Language barriers
• Practical – unable to access services due to work patterns, disability etc.

        What can we do to break
         down these barriers?
More information
Lots of useful information is available – just be sure it is from a reliable source.
Some suggested websites:
• NHS
• Cancer Research UK
• Macmillan Cancer Support
• Jo’s Cervical Cancer Trust
• Eve Appeal
• British Lung Foundation
• Breast Cancer Now
• Roy Castle Lung Cancer Foundation
• Bowel Cancer UK
Contacts

     Caroline Cook – Programme Manager for Prevention, Awareness and Screening –
     caroline.cook9@nhs.net

     Paul Thomas – Communications and Engagement Manager – p.thomas6@nhs.net

     North East London Cancer Alliance

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